[28F] With shoulder pain and associated symptoms

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Cervical Radiculopathy (Pinched Nerve): This condition occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This can cause sharp, burning pain that radiates to the shoulder blade and arm, along with tingling, numbness, and muscle weakness.

  • Typical Treatments: Physical therapy, medications like NSAIDs (e.g., Aleve), corticosteroid injections, and in severe cases, surgery. Diagnostic tests may include MRI or CT scans to visualize the affected nerves.

• Rotator Cuff Tendinitis or Tear: Inflammation or tearing of the rotator cuff tendons can cause shoulder pain, especially when reaching overhead. This condition can also lead to weakness and tenderness.

  • Typical Treatments: Rest, ice, physical therapy, anti-inflammatory medications, and sometimes corticosteroid injections. An MRI may be used to confirm the diagnosis.

• Myofascial Pain Syndrome: This is a chronic pain disorder where pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body. This could explain the tenderness and radiating pain.

  • Typical Treatments: Physical therapy, trigger point injections, medications, and stress management techniques.

• Migraine-Related Neck Pain: Since you have a history of migraines, it's possible that your neck pain and shoulder discomfort are related to your migraines. Migraines can sometimes cause referred pain to the neck and shoulders.

  • Typical Treatments: Migraine management through medications, lifestyle changes, and avoiding known triggers.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Continue Using Heat: Applying heat to the affected area can help relax the muscles and reduce pain.
2. Over-the-Counter Pain Relief: Continue taking Aleve (naproxen) as it seems to help. Always follow the dosage instructions on the label.
3. Gentle Stretching and Strengthening Exercises: Engage in gentle neck and shoulder stretches to improve flexibility and reduce muscle tension. Physical therapy exercises can be particularly beneficial.
4. Posture Improvement: Pay attention to your posture, especially if you spend a lot of time sitting or working at a computer. Ergonomic adjustments can help reduce strain on your neck and shoulders.
5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens.
• Loss of Function: If you experience significant weakness or loss of function in your arm or hand.
• New or Worsening Symptoms: If you develop new symptoms such as severe headaches, dizziness, or balance issues.
• Signs of Infection: If you notice redness, swelling, or warmth in the affected area, which could indicate an infection.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.